Individual
JADEN COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1161 21ST AVE S, NASHVILLE, TN 37232-0011
(615) 936-1612
Mailing address
1161 21ST AVE S, NASHVILLE, TN 37232-2730
(615) 936-1612
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
12074
TN
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
12074
TN
Other
Enumeration date
05/12/2021
Last updated
07/24/2025
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